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Diabetes Service

People with Type 2 Diabetes Mellitus using GLP-1 oral and injectable medications may face supply shortages

There is a worldwide shortage of a group of drugs used in the management of Type 2 Diabetes Mellitus.

 

This includes:

  • Ozempic® 0.5mg & 1mg solution for injection
  • Trulicity® 0.75 mg, 1.5 mg, 3 mg and 4.5 mg solution for injection
  • Rybelsus® 3mg, 7mg, 14mg tablets
  • Victoza® (Liraglutide) 6mg/ml solution for injection
  • Byetta® 5 & 10 mcg/0.02ml solution for injection
  • Bydureon® 2mg/0.85ml prolonged-release suspension for injection

Due to increased global use, manufacturers are currently unable to produce enough of these medicines to meet demand. We have been advised that supply is not expected to return to normal until at least the middle of 2024.

This will be very difficult for people with diabetes, who have problems accessing their medication, and for their clinicians who are unable to provide the treatment they feel is necessary.

NHS Lanarkshire’s Adult Diabetes Service is working closely with colleagues in pharmacy and GP practices to ensure that people who are affected are provided with appropriate support and advice.

If you are currently using one of these medications and have recently obtained a prescription, please do not worry.

If you are due to renew your prescription in the next two to three weeks, please speak to your community pharmacy about their expectation regarding available supplies. If your pharmacy is unable to get your medication for you, it may be necessary to have a discussion with your health care provider to discuss alternative treatment.

If you wish further advice or have any concerns, please contact the health care professional who normally looks after you.

NHS Lanarkshire Adult Diabetes Specialist Service in conjunction with NHS Lanarkshire Prescribing Management.

 11 July 2023

Quick Links

Diabetes Information

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COVID-19 and Diabetes information for patients

Helpful websites and videos

Sick Day Rules for Type 1 Diabetes - Patient Information Leaflet

Type 2 Diabetes information

Diabetes Insulin Pump service - Emergency Leaflet

A Healthier Future: T2 Diabetes prevention, early detection and intervention framework

Diet and fitness information

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Diabetic Eye Screening GPs/Clinical Staff Information

Types of diabetes

There are two main types of diabetes and some other less common types. These are:

Type 1

Type 1 is caused by failure of the pancreas to produce insulin. This results in an insulin deficiency which means that there is too much glucose in the bloodstream. People with Type 1 diabetes require treatment with insulin to survive.

It can occur at any age but onset is most common before the age of 40. Type 1 diabetes accounts for approximately 13.1 per cent of all people with diabetes in Lanarkshire.

Type 2

Type 2 is caused by a combination of insulin resistance and a reduction in insulin production. It requires management with varying combinations of lifestyle management, oral or injectable medication. This type of diabetes usually appears in people over the age of 40, though in South Asian and African-Caribbean people often appears after the age of 25. However, recently, more children are being diagnosed with the condition, some as young as seven. Type 2 diabetes is the more common of the two main types and accounts for 86.5 per cent of all people with diabetes in Lanarkshire.

Gestational Diabetes

This is a type of diabetes that can develop during pregnancy. It affects approximately two to three in every 1000 pregnancies and 95 per cent of cases require intensive management with insulin and lifestyle intervention. It can be an indication that diabetes will develop in the future.

You can also develop diabetes due to other conditions such as:

  • pancreatic disease
  • endocrine disease, or
  • induced by drugs called steroids or thiazides.

The management of this type of diabetes is the same approach as in Type 2 diabetes.

FreeStyle Libre System

Use of FreeStyle Libre System

October 2021

NHS Lanarkshire has approved the use of the Freestyle Libre® blood glucose monitoring system for eligible people with Diabetes.

The FreeStyle Libre® will be provided following assessment by a Diabetes Service specialist clinician and will be considered for people who:

  • Use intensive insulin therapy (multiple daily injections or an insulin pump)
  • Agree to scan glucose levels no less than six times per day
  • Agree to share glucose data with their Diabetes clinic
  • The clinical team are satisfied has the required knowledge and skills to self-manage their Diabetes
  • Agree to attend a locally provided education session (face-to-face or virtual)

People attending the education sessions will have to complete an online training programme prior to receiving their device. Further details will be provided along with the invite to attend a group session.

Adult Diabetes Service
NHS Lanarkshire

Specialist podiatry services

Diabetes is a life-long condition which can affect the nerves (neuropathy) and circulation (ischaemia) to your feet. This can happen so gradually that you are not aware of it.  Loss of protective sensation means you can hurt or damage your feet without feeling anything and poor circulation means you are less able to heal any wounds that may occur.

If you have diabetes, it is very important  to have your feet screened by a suitably trained healthcare worker at least once a year to determine whether your feet are at low, moderate or high risk of developing problems:

  • If you have low risk feet and no podiatry problems you will be given basic foot care advice for maintaining healthy feet.
  • If you have moderate risk feet you will be offered regular appointments at your local podiatry service for review or treatment as required.
  • If you have high risk feet you will be offered more frequent appointments for review or treatment as required.
  • If you have non-healing wounds or ulcers on your feet you will be referred to the specialist diabetes foot care service at your local hospital. Your care may be shared with community podiatrists and /or nurses.

The most effective way of preventing poor circulation and nerve damage is by keeping good control of your diabetes, cholesterol levels and blood pressure and not smoking.

Improved diabetic control can be achieved by regular exercise,  healthy eating and making sure medication is taken appropriately.

The Scottish Diabetes Foot Action Group has developed a new online foot screening training module. This is part of the targets set out in the Diabetes Action Plan 2010. The ethos behind this training is to encourage any health care professional/worker involved in the care of a patient with diabetes to carry out foot screening and provide them with the competencies/confidence to do so.  If you would like to see the diabetic foot risk stratification and triage (traffic light) document please click here.

The website aims to provide an interactive way of learning and uses animations and case scenarios. To access the new online foot screening training module, please go to: www.diabetesframe.org

Patient Foot Information Leaflets

For useful Diabetes information and advice leaflets from the Foot Action Group, click the links below or visit the Diabetes in Scotland website publications page.

Advice on Footwear (English)

Charcot Foot (English)

Diabetic Foot Ulcer (English)

Foot Risk Stratification & Triage (English)

High Risk of Non-healing Wounds and Amputation (English)

Holiday Feet (English)

Looking After Your Foot In Remission (English)

Low Risk of Developing Non-healing Foot Wounds (English)

Moderate Risk of Non-healing Wounds and Amputation (English)

Patient information leaflets

For all our Diabetes Patient Information leaflets, click on the link below. 

Icon

Diabetes Patient Information Leaflets 4.44 MB 410470 downloads

Contact Heather McDonald on 01698 753654 or email Heather.McDonald2@lanarkshire.scot.nhs.uk...
Download
Related links
Complimentary Therapies
https://www.diabetes.org.uk/Guide-to-diabetes/Enjoy-food/Eating-with-diabetes/Herbal-and-food-supplements

Healthy Valleys
http://healthyvalleys.org.uk/

Elament
http://www.elament.org.uk/

Drivers medical information
https://www.gov.uk/search?q=diabetes&show_organisations_filter=true

Diabetes information in other languages
https://www.diabetes.org.uk/Other_languages

Ramadan and Diabetes
https://www.diabetes.org.uk/Guide-to-diabetes/Managing-your-diabetes/Ramadan

Diabetes UK website
https://www.diabetes.org.uk/Diabetes-the-basics

My Diabetes My Way
https://www.mydiabetesmyway.scot.nhs.uk/

Videos

Sexual dysfunction
https://www.youtube.com/watch?v=V5l8I2dzjVo&version=3&hl=en%5FGB&rel=0

Type 2 Diabetes
https://www.youtube.com/watch?v=40ianSoaSF4&version=3&hl=en%5FGB&rel=0

Diabetes and Pregnancy
https://www.youtube.com/watch?v=RKBujD2TP_Y&version=3&hl=en%5FGB&rel=0

Diabetes and Smoking
https://www.youtube.com/watch?v=RKBujD2TP_Y&version=3&hl=en%5FGB&rel=0

Diabetes and Foot Care
https://www.youtube.com/watch?v=xyqmVzYfVFQ&version=3&hl=en%5FGB&rel=0

Facebook and Twitter

Facebook

https://www.facebook.com/diabeteslanarkshire

Twitter

@DiabetesNHSL

Women getting a Diabetic Retinal Screening

Diabetic Retinal Screening Service

CONTACT

University Hospital Hairmyres

Diabetes Centre

Eaglesham Road
East Kilbride
G75 8RG

University Hospital Monklands 

David Matthews Diabetes Centre

Monkscourt Avenue
Airdrie
ML6 0JS

University Hospital Wishaw

Outpatients Department

50 Netherton Street
Wishaw
ML2 0DP

Monklands Community Staff

Abronhill Health Centre, Cumbernauld 

Airdrie Health Centre 

Coathill Hospital, Coatbridge  

Coathill Hospital Diabetes Retinal Screening  

Hairmyres Community Staff

Hunter Community Health Centre, East Kilbride

Rutherglen Health Centre

Wishaw Community Staff

Beckford Street, Hamilton

Braeside Clinic, Blackwood (Clydesdale)    

Motherwell Health Centre  

Your Feedback - comments, concerns and complaints

NHS Lanarkshire is committed to improving the service it provides to patients and their families. We therefore want to hear from you about your experience. If you would like to tell us about this please visit our feedback page.

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